Human Resources Department
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New Hire Form

EMPLOYEE INFORMATION

*=Required

*Form Completed by


*Employee Name (first, last, MI):


Home Address:

*Street 1:


Street 2:


*City:


*Zip Code:


*Home Phone:


WORK INFORMATION

*Position Number:



Pay Grade

Step

*Department Name:

Department Address:
*Street 1:


Street 2:


*City:


*Zip Code:


*Work Phone:



Street 1:


Street 2:


City:


Zip Code:


Work Phone:


 *Previous State Employee? Yes No

Previous State Agency:



 *FTE   %:

*Select one:





*Select one:


*Select one:


:


For Faculty Hires Only:

MPA

MPA Salary Level, if known (Check one): 7.5%







When sending this form, you are issuing an electronic signature which will hold you accountable as though it were a physical signature.

For questions call Human Resources ext. 3-2615.

 

Last Modified: April 25, 2008